An electrolarynx, akin to a megaphone or Mr. Microphone, only it is held to a blowhole in the throat after the larynx has been removed due to diseases like Cancer. The resulting "voice" is very buzzy, throaty, and monotone - but it's all you got at that point. What'
s sadder is that a lot of the
people in this situation
smoked a truckload of cigarettes along the way, and they usually look somewhat "weathered", "leathery", or "rugged" to
add a visual scare with the auditory one.